- Aptive Resources (Sierra Blanca, TX)
- …Patrol Agents may select from an array of federal employment benefits that include health and insurance plans, a generous annual and sick leave program, and ... utilizing intelligence information to track illegal operations and/or contraband. Leading investigations of fraud , contraband, and/or illegal operations to… more
- US Customs and Border Protection (Sasabe, AZ)
- …Patrol Agents may select from an array of federal employment benefits that include health and insurance plans, a generous annual and sick leave program, and ... while serving as a state, federal, or military law enforcement official. Leading investigations of fraud , contraband, criminal activity, threats to our nation,… more
- Collectors Holdings, Inc. (Santa Ana, CA)
- …including location, job level, prior experience and skill set. Reasons To Join Us: Health Insurance : All full-time employees are eligible to enroll in Medical, ... the cause of any damage. Conduct chain of custody investigations to trace each stage of an item's handling,...or one of our business units. This type of fraud can be carried out through false websites, through… more
- Activision Central Tech (Portland, OR)
- …5 years of experience in threat intelligence, open-source intelligence, online research, fraud or anti-cheat investigations , or similar fields. Proficiency in ... requirements, the Company offers comprehensive benefits including: Medical, dental, vision, health savings account or health reimbursement account, healthcare… more
- Highmark Health (Pittsburgh, PA)
- …or related field **EXPERIENCE** **Required** + 7 years of in the Health Insurance industry and/or Healthcare Fraud investigations + 3 years in leading ... be called upon as a subject matter expert for investigations providing guidance and mentoring to investigative team. Must...in Financial Analysis in an acute care hospital or health insurance setting + 5 years in… more
- MVP Health Care (Rochester, NY)
- …to MD or RN. + New York State Nursing license required (RN preferred). Experience in health insurance fraud investigations preferred. + Obtain CPC and/or ... At MVP Health Care, we're on a mission to create...if you have a passion for problem solving and investigations , commitment to compliance and ethical standards and dedication… more
- Highmark Health (Montgomery, AL)
- …**Required** + 3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations **Preferred** + 1 year ... fraud , waste and abuse case, conducting the initial investigations and coordinating the recovery/savings of money related to...in Financial Analysis in an acute care hospital or health insurance setting + 1 year in… more
- Humana (Indianapolis, IN)
- …or a state bordering Indiana. + At least 2 years of healthcare fraud investigations and auditing experience + Knowledge of healthcare payment methodologies ... part of our caring community and help us put health first** This Senior Fraud and Waste...encourage sensible and culturally-competent business standards + Oversee internal investigations of FWA compliance issues + Work with the… more
- Guidehouse (Richardson, TX)
- …gain employment with our rapidly growing firm. Guidehouse is seeking experienced Fraud Investigations Analyst's to conduct, identify, and investigate potential ... document and escalate such matters. The responsibilities of the Fraud Investigations Analyst will include, but are...workplace. Benefits include: + Medical, Rx, Dental & Vision Insurance + Personal and Family Sick Time & Company… more
- State of Colorado (Denver, CO)
- …Office about those complaints. While your primary responsibility will be managing our fraud filing complaint investigations and processes, you will also have the ... and businesses affected by fraudulent business filings. In addition to managing our fraud filing complaint investigations , you will also be responsible for other… more
- Sanford Health (Fargo, ND)
- … health insurance investigation/audit. - Master's Degree preferred - Accredited Health Care Fraud Investigator (AHFI) certification or Certified Fraud ... in health insurance investigation/audit. Master's Degree preferred Accredited Health Care Fraud Investigator (AHFI) certification or Certified Fraud … more
- State of Colorado (Denver, CO)
- …Examiner; + Experience/training as a FTO or as a LE instructor; + Participation with health care fraud or elder abuse task forces or committees; + Experience ... Colorado benefits package (https://stateofcoloradobenefits.com/) including competitive medical and dental health plans, employer-paid life insurance , paid holidays,… more
- Columbia Bank (Tigard, OR)
- …able to provide subject matter expertise and leadership in the field of AML and fraud investigations as well as understanding the risks associated and types of ... Provide oversight and support services for groups that impact FID related to fraud investigations and AML transaction monitoring, process and policies. + Working… more
- Zelis (St. Petersburg, FL)
- …for payment transaction, ACH enrollment, and provider verification. + Oversee fraud investigations , root cause analyses, and escalations, ensuring timely ... PINS). As the Fraud Manager, you will be responsible for overseeing fraud detection strategies, leading complex investigations , and enhancing fraud … more
- Concentrix (Austin, TX)
- …Diploma or GED required + 1- 2 years of financial or payment fraud / investigations experience required + Additional experience in data analysis and technical ... Job Title: Fraud Analyst - VR Developer Support (Onsite) Job...intelligence, and third party private intelligence. + Execute complex investigations to understand how abuse is occurring and implement… more
- Elevance Health (Chicago, IL)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days ... by law._ **Carelon Payment Integrity** is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to… more
- Comerica (Farmington Hills, MI)
- …and vision benefits, 401(k) and pension, income protection benefits such as life insurance , AD&D, and supplemental health programs to offset unexpected health ... Job Description Fraud Prevention InvestigatorThe Fraud Prevention Investigator...case files. Utilize computer and industry specific software on investigations or projects. Prepare customer documentation for review and… more
- American Express (Charlotte, NC)
- …Strategy, Investigations and Technology teams, the Director ensures that fraud alerts are timely, accurate, and actionable, while minimizing false positives and ... Operations is responsible for overseeing the daily operations of internal fraud detections systems, ensuring the effective monitoring of insider threats and… more
- Health Care Service Corporation (Chicago, IL)
- …healthcare fraud investigative experience. + Familiarity with laws applicable to health care fraud . + Ability to develop effective liaison relations which ... and concise verbal and written communication skills. **PREFERRED REQUIREMENTS:** + Accredited Health Care Fraud Investigator + Certified Professional Coder +… more
- ManpowerGroup (Tempe, AZ)
- … Investigations Group supporting critical initiatives in anti-money laundering and fraud investigations . The ideal candidate will have strong analytical ... the financial services industry, is seeking an AML / Fraud Analyst to join their team. As an AML...various channels. + Work assigned cases daily and conduct investigations on financial crime transactions or policy violations. +… more
Related Job Searches:
Fraud,
Fraud Investigations,
Health,
Health Insurance,
Insurance,
Insurance Fraud,
Investigations